| NPI | 1740345529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AL 1899) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7390) |
| 103TC0700X Psychologist Clinical (Licence: FL PY 7390) | |
| 103TH0100X Psychologist Health Service (Licence: FL PY 7390) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: AL 1899) | |
| 103TF0000X Psychologist Family (Licence: AL 1899) | |
| 103TF0200X Psychologist Forensic (Licence: AL 1899) | |
| 103TH0004X Psychologist Health (Licence: AL 1899) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2015-03-27 |